| NPI | 1992264592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 359549) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR22525800) |
| 163W00000X Registered Nurse (Licence: NY 815874) | |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2026-05-22 |